Provider Demographics
NPI:1760695233
Name:HARDIN COUNTY UNIT SCHOOL DISTRICT 1
Entity Type:Organization
Organization Name:HARDIN COUNTY UNIT SCHOOL DISTRICT 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:POTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-287-2411
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:IL
Mailing Address - Zip Code:62931-0218
Mailing Address - Country:US
Mailing Address - Phone:618-287-2411
Mailing Address - Fax:618-287-2421
Practice Address - Street 1:RR 2
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:IL
Practice Address - Zip Code:62931-0218
Practice Address - Country:US
Practice Address - Phone:618-287-2411
Practice Address - Fax:618-287-2421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid